Individual provider · NPI-1

Golnoush Nikki Abedi, MSW

Social Worker, Clinical · Los Angeles, CA

NPI number1083047294
StatusActive
Last updated in NPPESFeb 14, 2017

Details

NPI
1083047294
Entity type
Individual (NPI-1)
Name
Ms. Golnoush Nikki Abedi
Credential
MSW
Sex
Female
Sole proprietor
No
Enumeration date
Aug 12, 2013
Last updated
Feb 14, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical––Yes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

4211 Avalon Blvd
Los Angeles, CA 90011

Phone 323-802-0295

Mailing address

4211 Avalon Blvd
Los Angeles, CA 90011-5622

Phone 323-802-0295

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